【摘 要】
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Purpose Retrospective analysis of the clinical study effi-cacy and feasibility of one-stage posterior transforaminal lumbar debridement,360° interbody fusion,and posterior instrumentation in treating
【机 构】
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Department of Spine Surgery, The Xiangya Hospital of Central South University, 87＃ Xiangya Road, Cha
【出 处】
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第三届全国脊柱结核诊疗新技术研讨会暨2017年湖南省医学会脊柱外科专业委员会年会
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Purpose Retrospective analysis of the clinical study effi-cacy and feasibility of one-stage posterior transforaminal lumbar debridement,360° interbody fusion,and posterior instrumentation in treating lumbosacral spinal tuberculosis.Method A total of 21 patients with lumbosacral tubercu-losis (TB) collected from January 2004 to January 2010,underwent one-stage posterior transforaminal lumbar debridement,360° interbody fusion,and posterior instru-mentation.In addition,the clinical efficacy was evaluated based on the data on the lumbo-sacral angle,neuro-logical status that was recorded by American Spinal Injury Associ-ation (ASIA) Impairment Scale,erythrocyte sedimentation rate (ESR),and C-reactive protein (CRP),which were col-lected at specific time points.Results All cases were followed up for 16-36 months (average 24.9 ± 6.44 months).18 patients suffered from evident neurological deficits preoperatively,of which 16 patients returned to normal at the final follow-up.Two patients with neurological dysfunction aggravated post-operative,experienced significant partial neurological recovery.With an effective and standard anti-TB chemo-therapy treated,the values of ESR and CRP returned to normal levels 3-month later postoperative and maintained till the final follow-up.Preoperative lumbosacral angle was 20.89 ± 2.32° and returned 29.62 ± 1.41° postoperative.During long-term follow-up,there was only 1-3° lumbosa-cral angle loss.There was a significant difference between preoperative and postoperative lumbosacral angles.Conclusion With effective and standard anti-TB chemo-therapy,one-stage posterior transforaminal lumbar debride-ment,360° interbody fusion,and posterior instrumentation for lumbosacral tuberculosis can effectively relieve pain symptoms,improve neurological function,and reconstruct the spinal stability.
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